apollo
  • male
  • 47 Years
  • 20/02/2025

Hey, I had a heart attack three months ago and I initially thought it was just a gastric issue, so I didn't go to the hospital right away. I was working normally until I went in for a routine check-up a few days later and they told me I had a heart attack. They did an angioplasty and put a stent in my LAD, and everything seemed to go well. Now, I'm doing a morning walk every day, around 6 km in an hour. I'm a 47-year-old guy and I'm just wondering, when would be a good time for me to go for a stress echo?

Doctor 1

Answered by 1 Apollo Doctors

Given that you had a heart attack three months ago and have since undergone successful angioplasty with stent placement, its important to follow your cardiologist's advice for follow-up care. Typically, a stress echo is recommended several months after the procedure to evaluate how well your heart is functioning under stress and to ensure that the stent is working effectively. You should consult with your cardiologist to determine the best timing for this test based on your individual recovery and health status. Its great that you are walking daily; continue following your doctor's guidance on physical activity and medication.

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  1. Timing for Stress Echo:

    • Consult your cardiologist for personalized advice.
    • Typically, a stress echo is considered 3-6 months post-angioplasty, depending on recovery and symptoms.
  2. Current Activity Level:

    • Continue walking 6 km daily if tolerated well.
    • Monitor for any symptoms like chest pain or shortness of breath.
  3. Follow-Up:

    • Regular follow-up with your cardiologist is crucial.
    • Ensure medication adherence and lifestyle modifications.

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Answered 10/09/2025

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I'm a 39-year-old guy and I used to do a lot of sports about 20 years ago. Last May, I had an angiogram that showed a myocardial bridge in my mid LAD, causing 30% systolic narrowing. The doctor said it's nothing serious and pretty normal, but sometimes I still get chest pain and it even goes down my left arm. This pain usually kicks in during the evening and can last through the night. It's weird because it happens in phases, like I'll have it for about 10 days, then it'll disappear for a month or so, only to come back again. I went to see a gastroenterologist too and they think I might have GERD. I had an upper GI endoscopy and they found an H. Pylori infection, so they put me on pantoprazole. That helped a bit, but I still get the chest pain sometimes. I'm anxious a lot, and the doctors mentioned that might be making both the pain and the GERD worse. The heart doctors say the angiogram was normal and that's the gold standard, so they're not worried. I've started exercising, doing yoga, changed my diet, and managed to lose about 5kg. I even cut down on smoking to just one cigarette a day. What do you think might be going on here with this recurring pain?

You are doing great and no need to worry continue the same and have a regular follow up with your doctor

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

After recovering from COVID over a month ago, I've noticed my blood pressure has been consistently high, ranging between 145-165. I've been really disciplined with my diet and make sure to walk twice a day for 30 to 40 minutes. Is this high BP normal for someone in my situation, or could there be something else going on health-wise? What do you think?

After recovering from COVID-19, it is not uncommon for some patients to experience fluctuations in their blood pressure. In your case, with a consistently elevated blood pressure ranging between 145-165, it is important to monitor this closely. Since you are following a strict diet and exercise routine, there may be an underlying issue causing this spike. Considering your history of high blood pressure, it is advisable to consult your healthcare provider for further evaluation. In the meantime, you can try incorporating medication such as Losartan 50mg once daily to help manage your blood pressure. Additionally, continue with your healthy lifestyle habits and monitor your blood pressure regularly.

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Doctor 1Doctor 2

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I'm really worried about my grandfather who's 76. He was hospitalized twice because his blood pressure went up to 200100. We have the ECG from when he was in the hospital and his prescription too. Since getting discharged, his blood pressure is fine during the day, but at night it gradually rises to somewhere between 16080 and 18090. Does the ECG indicate he's had a heart attack? Are the medications he's on appropriate?

If the ECG shows sinus rhythm with no signs of acute myocardial infarction. The medications prescribed are Amlodipine 5mg once daily and Atenolol 25mg once daily. These are appropriate medications for controlling high blood pressure. However, since your grandfather's blood pressure is still increasing during the night, a medication adjustment may be needed. I recommend consulting with the doctor who prescribed these medications to discuss the possibility of increasing the dosage or adding another medication to better control his blood pressure during the night.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.